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- Title
Sleep Deprivation and Fatigue among Nurses Working Consecutive Night Shifts: A Prospective Observational Study.
- Authors
Ari Min; Jisu Seo; Minkyung Kang; Hye Chong Hong
- Abstract
Purpose: This study aimed to identify changes in sleep patterns and fatigue levels during consecutive night shifts among shift nurses and to determine the association between sleep parameters and increased fatigue levels during work. Methods: This prospective observational study employing ecological momentary assessments was conducted using data collected from 98 shift nurses working in Korean hospitals between June 2019 and February 2021. The sleep patterns were recorded using actigraphy. The participants reported their fatigue levels at the beginning and end of each night shift in real time via a mobile link. Linear mixed models were used for the analysis. Results: Nurses spent significantly less time in bed and had shorter sleep durations during consecutive night shifts than on off-duty days, whereas their wake times after sleep onset were much longer on off-duty days than on on-duty days. Fatigue levels were higher on the second and third night-shift days than on the first night-shift days. A shorter time spent in bed and asleep was associated with a greater increase in fatigue levels at the end of the shift than at the beginning. Conclusion: Nurses experience significant sleep deprivation during consecutive night shifts compared with off-duty days, and this sleep shortage is associated with a considerable increase in fatigue levels at the end of shifts. Nurse managers and administrators must ensure sufficient intershift recovery time during consecutive night shifts to increase the time spent in bed and sleeping.
- Subjects
SOUTH Korea; RISK assessment; NURSE administrators; SECONDARY analysis; DATA analysis; RESEARCH funding; FATIGUE (Physiology); HOSPITAL nursing staff; SCIENTIFIC observation; MULTIPLE regression analysis; STATISTICAL sampling; NURSING models; HOSPITALS; ACTIGRAPHY; WEARABLE technology; DESCRIPTIVE statistics; LONGITUDINAL method; SLEEP duration; SLEEP deprivation; SLEEP; STATISTICS; PSYCHOLOGICAL tests; SLEEP quality; COMPARATIVE studies; DATA analysis software; CONFIDENCE intervals; SHIFT systems; WELL-being
- Publication
Journal of Korean Academy of Nursing, 2024, Vol 54, Issue 2, p139
- ISSN
2005-3673
- Publication type
Article
- DOI
10.4040/jkan.23164